CMV retinitis

Background

  • Most frequent and serious ocular OI
  • Leading cause of blindness in AIDS pts
  • Typically occurs with CD4 less than 50

Diagnosis

  • Signs/symptoms are variable; may include:
    • Change in visual acuity
    • Visual field cuts (Scotomas, loss of central vision)
    • Floaters, loss of central vision
    • Photophobia
    • Eye redness/pain
  • Complications
    • Retinal detachment
    • Complete Vision loss

Treatment

  • Ganciclovir implant and ganciclovir 1–1.5gm PO TID

See Also

Source

Tintinalli